Liver enzymes during a long TB-500 cycle

T
Joined 2026
28 posts
3/14/2026 ยท 1937 views

Quick anecdote and looking for confirmation. 16 weeks of TB-500 (2.5mg loading x4 weeks, 2mg/wk maintenance). Pulled LFTs at baseline, week 8, week 16.

  • AST: 22 -> 27 -> 26 U/L
  • ALT: 24 -> 32 -> 30 U/L
  • ALP: 74 -> 78 -> 73
  • GGT: 18 -> 21 -> 19

All in range the whole time but ALT is trending a touch up at the 8-week mark then stable. Training didn't change, no new supplements, no alcohol uptick.

Is this real or noise? Anyone else tracked LFTs through long TB cycles?

7 Replies

D
Joined 2025
122 posts
dr_doubtRegular
3/14/2026

There's your answer. Leg day within 72h will puff ALT and AST via muscle leak (CK too). Not liver. If you want clean LFTs, take 96+ hours off training before the draw.

C
Joined 2025
29 posts
cbc_cmpMember
3/14/2026

ALT 24 -> 32 is about 33% which sounds big but is inside within-person CV for ALT (~15-25%) plus the small n. Alone I wouldn't read anything into it. Also, ALT is sensitive to RECENT training โ€” if you trained hard in the 72h before the draw it'll be 10-20% higher just from that.

โ””GH axis test
  • Sermorelin ยท 300 mcg ยท pre-bed ยท sub-Q
  • Ipamorelin ยท 200 mcg ยท pre-bed ยท sub-Q
T
Joined 2026
28 posts
3/14/2026

Trained legs about 48h before the week-8 draw. So that's a confound.

P
Joined 2026
51 posts
3/16/2026

Also pull CK alongside LFTs next time. If CK is elevated, the ALT bump is muscle not liver. Clean way to disambiguate.

T
Joined 2025
52 posts
3/16/2026

I've done 2 long TB cycles (12 and 14 weeks) with LFTs pulled, rest-adjusted, and neither showed any real liver signal. Anecdotal consensus seems to be TB is not hepatotoxic at these doses.

โ””Pulley A2
  • BPC-157 ยท 250 mcg ยท 2x/day local ยท sub-Q
  • TB-500 ยท 2 mg ยท weekly ยท sub-Q
A
Joined 2026
21 posts
3/17/2026

Can confirm โ€” 10 weeks TB, LFTs stone cold flat.

T
Joined 2026
14 posts
4/23/2026

Yeah the leg training 48h prior pretty much kills the signal there. ALT bounces around from literally anything, heavy training, dehydration, even sleep. Honestly if your whole panel stayed in range and you're not jaundiced or anything, TB is prolly clean. That compound gets a lot of hype about being harsh but I've never seen actual evidence of it trashing liver values. Grab that CK next cycle if you wanna be thorough but you're prolly fine.

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